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Attorney Request for Mediation
 Style: Court/Cause No.: Scheduled Date for Mediation:
On bealf of ______________________, I request that Bruce W. Wettman act as Mediator in the above case, and agree to be bound by the Texas ADR Act as to the procedures for said mediation. I have advised my client that the Mediator does not serve as counsel to any party to the mediation and that each party must rely solely on its own retained counsel for legal advice.
Dated:
_____________________ Attorney of Record
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